Evidence map›Paper›PMID 22459947›Full record

ArticleJournal of leukocyte biology2012

BTLA expression contributes to septic morbidity and mortality by inducing innate inflammatory cell dysfunction.

Nicholas J Shubin, Chun S Chung, Daithi S Heffernan, Lydea R Irwin, Sean F Monaghan, Alfred Ayala

Abstract read
In one paragraph

Article in Journal of leukocyte biology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 74 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
74citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

74 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Admission CD4Frontiers in cellular and infection microbiology · 2026
    Observational
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Lymphopenia in sepsis: a narrative review.Critical care (London, England) · 2024
    Review
  11. Article
  12. Article
  13. Review
  14. Review
  15. Article
  16. Article
  17. Review
  18. Article
  19. Article
  20. Review

14 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Nicholas J ShubinDivision of Surgical Research, Department of Surgery at Rhode Island Hospital, Warren Alpert School of Medicine, Providence, RI, USA.
Chun S Chung
Daithi S Heffernan
Lydea R Irwin
Sean F Monaghan
Alfred Ayala

Funding

PROGRAMMED CELL DEATH: ROLE IN SEPTIC IMMUNE SUPPRESSIONR01GM053209 · NIGMS · RHODE ISLAND HOSPITAL (PROVIDENCE, RI) · PI AYALA, ALFRED · 1995 to 2013
$3.0M
NIGMS NIH HHS GM053209NIGMS NIH HHS R01 GM053209
6 · The paper itself

Abstract

A proper innate inflammatory response is essential for prevention of the systemic inflammation associated with sepsis. BTLA is an immune-regulatory receptor demonstrated to be expressed not only on adaptive immune populations and have potent inhibitory effects on CD4(+) T cells but is also expressed on innate cell populations (CD11c(+) and CD11b(+) cells) and has been shown to diminish pathogen clearance following bacterial and parasite infection. The role of BTLA in sepsis and the mechanisms by which BTLA alters pathogen clearance, however, have not been addressed clearly. Here, we show that following acute experimental sepsis induction in mice (CLP), the number of infiltrating BTLA- and HVEM (the ligand for BTLA)-expressing macrophages, inflammatory monocytes, mature and immature DCs, and neutrophils increased in the peritoneum compared with sham surgery, suggesting that a high level of HVEM:BTLA interactions occurs between these cells at the site of septic insult. Given this, we evaluated BTLA(-/-) mice, 24 h post-CLP, and observed a marked increase in the degree of activation on these cell populations, as well as a reduction in peritoneal bacterial burden and IL-10 induction, and most importantly, BTLA(-/-) mice exhibited a higher rate of survival and protection from organ injury when compared with WT mice. Such changes were not restricted to experimental mice, as circulating BTLA+ and HVEM+ monocytes and HVEM+ granulocytes were increased in septic ICU patients, supporting a role for BTLA and/or HVEM as potential, novel diagnostic markers of innate immune response/status and as therapeutic targets of sepsis.

Indexed as

AnimalsDisease Models, AnimalFlow CytometryHumansImmunity, InnateInflammationMiceMice, Inbred C57BLMice, KnockoutMyeloid CellsPhenotypeReceptors, ImmunologicReceptors, Tumor Necrosis Factor, Member 14SepsisBTLA protein, humanBTLA protein, mouseReceptors, ImmunologicReceptors, Tumor Necrosis Factor, Member 14TNFRSF14 protein, humanTnfrsf14 protein, mouse

Identifiers

PMID22459947
PMCPMC3427605

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.